Mohan’s valvotome for the ablation of posterior urethral valves S.O. Ikuerowo a, *, O.A. Omisanjo a , B.O. Balogun b , R.A. Akinola b , O.T. Alagbe-Briggs c , J.O. Esho a a Urology Unit, Department of Surgery, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria b Department of Radiology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja Lagos, Nigeria c Department of Anaesthesia, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja Lagos, Nigeria Received 22 August 2008; accepted 1 December 2008 Available online 20 January 2009 KEYWORDS Posterior urethral valves; Mohan’s valvotomy; Treatment Abstract Introduction: Treatment of posterior urethral valves (PUV) is now most commonly by endoscopic valve ablation, but this is not readily available in our environment. We describe our experience with Mohan’s valvotome for the ablation of PUV. Materials and methods: All patients with PUV who underwent Mohan’s valvotomy over a 28- month period from June 2006 were reviewed. Results: There were 35 patients. The median age was 1.5 years (mean age 3.0 years, range 11 days to 14 years). Eleven (31.4%) and 24 (68.6%) patients received the treatment under local and general anaesthesia, respectively. Adequate relief of obstruction was achieved in all patients with marked improvement in the urinary stream. Complications were recorded in two (5.7%) patients; one was re-operated because of recurrent urinary retention, and the other had urinary incontinence which resolved after 3 months. At follow-up of 1e28 months (median 14 months), three (8.6%) patients had died from sepsis and malnutrition. The 32 (91.4%) surviving have good urinary stream, normal renal function (serum creatinine level <1.5 mg/dl) and resolution of hydronephrosis as demonstrated on ultrasound. There was no mortality resulting directly from the use of Mohan’s valvotomy. Conclusion: Mohan’s valvotome is an effective instrument for the ablation of PUV. It is invalu- able in the developing world where paediatric endoscopes are not readily available. ª 2008 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. Introduction PUV represent the most common cause of bladder outlet obstruction in male children [1]. Surgical treatment of the * Corresponding author. E-mail addresses: kerowq@yahoo.com, odunayo.ikuerowo@ gmx.de (S.O. Ikuerowo). 1477-5131/$36 ª 2008 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.jpurol.2008.12.001 Journal of Pediatric Urology (2009) 5, 279e282